training levy in the care of the history, pros & cons

I’ve written here in the Blog have often come about: The shortage of skilled workers in care already exists and will be even bigger. And in the last two articles in page came up in the comments and on my Facebook-really set the mood. I had the combined then Yes again.

The day before yesterday, I’m on the Forum from Werner Schell (also quite recommended) again on the training levy encountered. It is in many States that are longer in the back-and-forth and is intensively discussed. These days it is also in NRW the extent and for the companies in the health care industry to go to the corresponding Letter from the relevant regional associations. So that anyone can make a picture of it, I tried to find a timeline incl. explanatory information.

Chronicle of the training levy

2009:

In the Landtag NRW is the SPD parliamentary group calls for a non-bureaucratic allocation of funding. The question is whether a training levy and the inclusion of all carriers of care services in the financing of the training – can help more than in the past the nursing content and skills from all of the decoration and forms of Service (ambulatory, part-stationary, stationary, a new residential and care forms, open old work) will be taught.

The aim is to address the shortage of skilled workers in care and to gain more training more skilled workers.

2011:

How this is so in politics, grind the mills here, too, a little slower. But on 28.06.2011, the state government decides a position paper on the introduction of a compensation procedure in accordance with section 25 of the geriatric nursing act in the care of the elderly training. Shortly spoken: the introduction of the training levy. This should be available in January 2012. And how the model looks? All care facilities in NRW should Deposit according to their size (number of employees nurses/supervised persons/worked hours of Care) in a training Fund. Who does the training, gets the training remuneration in full from the Fund is refunded and thus, (except for the unavoidable red tape and the burden) otherwise, no cons.

Around 2.5 million are reserved also in the country’s 2012 budget to the school Finance fees-in-training for up to 1,500 new nursing students. These costs come on the 34.7 million Euro are to be spent in 2011 for the 11.800 nursing students.

2012:

I had written before that the mills grind slower? Well, since the beginning of 2012 the implementation of the training levy is prepared. The time plan looked so:

Up to the 31. March 2012 had to make all facilities and services with a contract for provision of services according to SGB XI, the initial registration over a particular weaving process and the financial data for the fixing of the compensatory amounts enter. The survey period for this year extends from July to December, so about a year and a half.

The 15. May received the care companies and care providers to the fixing of the compensation amount by a decision of the competent landscape Association.

Up to the 15. June could report to all Affected your training costs when landscape Association. These have then on the 31. July, by decision, the withdrawal amount for all the training facilities and services. Since the end of last month, the care facilities and care services so know what you get out of the training funds reimbursed.

In a couple of days, namely, on 15. August and then again at 20. November will be refunded to the training facilities and services, and then finally, the actual work of training compensation.

Which means the training levy?

For nursing care facilities and service providers from the levy, of course, means more expense. As described above, must be reported to the training set, it has to be removed, a corresponding amount, then you get back a little later refunded. All this takes a lot of time in the already tight-knit working day in care.

And for the patient? The consumer believes that the majority of care service providers submit their costs on to their customers. Thus, the maintenance is more expensive, and then and you should be careful: It may be that the co-payment out of pocket is affected. Who is the subject, you should read the Letter from the Verbraucherzentrale (Download as PDF).

Pro and Contra?

Finally, I would like to briefly discuss the Pro and Contra of the training levy in care. The positive is, of course, that by this law the companies are required to provide more training places. But the question is, however, also, if it’s just enough more to offer. Is there enough demand? You can me maybe in the comments to answer.

As a Contra it is often argued that the training levy, for example, on health insurance and care funds come from should. This should collect in Germany for all Insured persons to the appropriate posts so that the levy is on all shoulders. Because, after all, the company of better Care provision benefits in old age also.

Another Contra point is that The costs of non-Operated training, are usually so low that not enough pressure is applied, but to educate. And who levy the cost of the Training anyway to the care bedürfitgen, has no incentives to self-educate.

What do you say?

And now I’m curious on your opinion. What do you say? Your control is good or not? You have alternative suggestions? Your comments ?